AW: AW: [HSF] New crazy operations and solutions at HZL

[Tea Acuff]

I hope not to be "right", Bob, and your humility both validates your life's work and challenges mine. What I hope for is clarity so we can all move together. Imagine Tea being clear!
 
What I am pointing to is similar conceptually (in anatomical "space") to our discussion of referencing cardiac anatomy. You insist on "external" (in this case three dimensional, classic Cartesian) orientation. I am looking for, I think, "internal" mind or relational descriptions. I keep hoping that Bill Novick will point out, as I understand the pedi solution, that combining the internal logic of embryology with the external conventional naming (defining) of parts, ie left ventricle , right atrium became a nightmare of understanding. Clearly it can be "correct" that in the congenital corrected transposition the left ventricle in dextrocardia would be the the nominal, morphological, and actual left ventricle but not the functional left ventricle. It is also clear from this description that it is very hard to think through 3 left turns to go "right". Since I argue sometimes from the uncommon perspective, it seems I am frequently making three left turns (or
 erroring with 2 or 4). To me the relational/systems view seems the more "natural" or "internal" nature of things choice.
 
tea
 
 



----- Original Message ----
From: "Rwmfglycar at aol.com" <Rwmfglycar at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, April 27, 2008 12:36:52 PM
Subject: Re: AW: AW: [HSF] New crazy operations and solutions at HZL


In a message dated 4/27/2008 11:06:45 A.M. Eastern Daylight Time,  
tacuff at swbell.net writes:

I am not  positing that you are wrong that the problem is "merely" lack of 
information  and suitable manufacturing of your dream valve. The valve could 
possibily be  better than the native design if "out living" the patient is a 
useful  Cartesianesque variable. But whatever would that mean as viewed from 
where? I  am just pointing out that this is YOUR and the popular Occidental dream 
view  and may not be, if I might suggest for reference, the hearts or creatures 
dream. We have developed computers that can out calculate and organize us  
without doubt. But not only for the emotional reason, but the formal theoretic  
or logical reasons that i have argued elsewhere, would anyone prefer a  
computer for a brain? It is a fair question to beg, but I am not sure there is  a 
good and new positive answer, as to whether a longer than life lasting valve  
or body is better than a living or life like one. Strange as it seems 50 years  
after your brave and naive dream, we now have
in theory at least, some  possibility to consider living biologic dreams 
along side the one that you  posited long ago. 

One of the reasons that I keep talking though all  this "non"sense is that it 
seems more efficient and more "intellegent" to  think formally though these 
ideas as best we can before or certainly now as we  apply them. I make many 
mistakes in thinking, but this seems less tragic than  the mistakes that your 
friend suggests that he "visits from time to time" in  his head, our patients 
from our collective past 50 years. Unfortunately we are  caught in a trap where 
that which seems to work well and is presumbly the  nature of things might be 
compared to another world path that we have not  taken as quite different and 
preferrable over time. Remember the lesson of the  black swan?

tea



Of course Tea. Your message is the right one. I have no argument with it.  
Equally in the here and now we work in one direction with what we've got,  
keeping at all times in our heads the dreams that we may all of a  sudden be able 
to follow. 
Bob



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